| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.04 | $0.04 | $17,831.21 | |
Cigna
| Facility | $249.49 | $286.01 | $629.00 | |
Kaiser Permanente
| Professional | $348.17 | $476.01 | $687.94 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |